Imaging of Facial Fractures

Chapter

Abstract

Facial trauma is a common presentation to the emergency department, usually as a result of a blunt trauma. The trauma can range from a simple, isolated nondisplaced fracture to complex displaced facial fractures. Multiple fracture patterns have been described that make it easier to efficiently detect, document, and communicate the diagnosis in patients with multiple fractures. Rene Le Fort made the earliest and most famous classification in 1901, and since that time multiple other fracture patterns have been described. While these can be present in pure form, often they coexist, particularly in the setting of high-impact trauma.

Keywords

Depression Blindness Sinusitis Rene Ophthalmoplegia 

References

  1. 1.
    LeFort R. Etude experimentale sur les fractures de la machoire superieure. Rev Chir. 1901;23:208–27.Google Scholar
  2. 2.
    Sicher H, Debrul EL. Oral anatomy. 5th ed. St. Louis: Mosby; 1970. p. 78.Google Scholar
  3. 3.
    Gentry LR et al. High resolution of the CT analysis of the facial struts in trauma: 1 and 2: normal anatomy and osseous and soft-tissue complications. AJR Am J Roentgenol. 1983;140:523–41.PubMedCrossRefGoogle Scholar
  4. 4.
    Manson P et al. Structural pillars of the facial skeleton: an approach to the management of Le Fort fractures. Plast Reconstr Surg. 1980;66(1):54–62.PubMedCrossRefGoogle Scholar
  5. 5.
    Fonseca R et al. Oral and maxillofacial trauma. St. Louis: Elsevier/Saunders; 2005.Google Scholar
  6. 6.
    Dolan K et al. The radiology of facial fractures. Radiographics. 1984;4:575–663.Google Scholar
  7. 7.
    Moore K et al. Clinically oriented anatomy. 6th ed. Baltimore: Lippincott Williams & Wilkins; 2010.Google Scholar
  8. 8.
    Smith B, Regan WF. Blow-out fracture of the orbit, mechanism and correction of internal orbital fracture. Am J Ophthalmol. 1957;44:733–9.PubMedGoogle Scholar
  9. 9.
    Rhee J et al. Orbital blowout fractures: experimental evidence for the pure hydraulic theory. Arch Facial Plast Surg. 2002;4:98–101.PubMedCrossRefGoogle Scholar
  10. 10.
    Chirico P et al. Orbital “blow-in” fractures: clinical and CT ­features. J Comput Assist Tomogr. 1989;13(6):1017–22.PubMedCrossRefGoogle Scholar
  11. 11.
    Antonyshyn O et al. Blow-in fractures of the orbit. Plast Reconstr Surg. 1989;84(1):10–20.PubMedCrossRefGoogle Scholar
  12. 12.
    Rohrich RJ et al. Superior orbital fissure syndrome: current management concepts. J Craniomaxillofac Trauma. 1995;1(2):44–8.PubMedGoogle Scholar
  13. 13.
    Hopper R et al. Diagnosis of midface fractures with CT: what the surgeon needs to know. Radiographics. 2006;26:783–93.PubMedCrossRefGoogle Scholar
  14. 14.
    Markowitz B et al. Management of the medial canthal tendon in nasoethmoid orbital fractures: the importance of the central fragments in classification and treatment. Plast Reconstr Surg. 1991;87(5):843–53.PubMedCrossRefGoogle Scholar
  15. 15.
    Ioannides C et al. Fractures of the frontal sinus: classification and its implications for surgical treatment. Am J Otolaryngol. 1999;20(5):273–80.PubMedCrossRefGoogle Scholar
  16. 16.
    Stanley R et al. Injuries of the nasofrontal orifices in frontal sinus fractures. Laryngoscope. 1987;97(6):728–31.PubMedCrossRefGoogle Scholar
  17. 17.
    Gonty A et al. Management of frontal sinus fractures: a review of 33 cases. J Oral Maxillofac Surg. 1999;57:372–9.PubMedCrossRefGoogle Scholar
  18. 18.
    Fraioli R et al. Facial fractures: beyond Le Fort. Otolaryngol Clin North Am. 2008;41:51–76.PubMedCrossRefGoogle Scholar
  19. 19.
    Andreasen J, et al. Traumatic dental injuries: a manual. 3rd ed. Malden: Wiley-Blackwell; 2003. 18. p. 260–2.Google Scholar
  20. 20.
    Antoniades K et al. Sagittal fracture of the maxilla. J Craniomaxillofac Surg. 1990;18(6):260–2.PubMedCrossRefGoogle Scholar
  21. 21.
    World Health Organization. Application of the International Classification of Diseases to Dentistry and Stomatology. IDC-DA. 3rd ed. Geneva: World Health Organization; 1995.Google Scholar
  22. 22.
    Hendrickson M et al. Palatal fractures: classification, patterns and treatment with rigid internal fixation. Plast Reconstr Surg. 1998;101:319–32.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of RadiologyUniversity of Massachusetts Memorial Medical CenterWorcesterUSA

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